Active NPI
Joy Welcker, PH.D.
- Professional Counselor
- Statesboro, GA
National Provider Identifier
1912286089
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 9526
- Practice address
- 124 Savannah Ave Ste 1C
Statesboro, GA 30458-7149 - Phone
- (912) 481-2652
- Fax
- (912) 225-3770
- NPI assigned
- Aug 8, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Neuropsychologist | 103G00000X | 4747 | NC | |
| Psychologist | 103T00000X | 4747 | NC | |
| Professional Counselor | 101YP2500X | 9526 | GA | Primary |
Addresses
Primary practice location
124 Savannah Ave Ste 1C
Statesboro, GA 30458-7149
Mailing address
PO Box 2872
Statesboro, GA 30459-2872
Phone (912) 481-2652
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4747 | NC | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brighter Brains, LLC | Current | Accepting new patients | |
| Child Neurobehavioral Center for Health & Wellness, PC | Clinical Neuropsychologist | Past | Accepting new patients |
Locations
124 Savannah Ave
Ste 1C
Statesboro, GA 30458
Phone (912) 481-2652
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Multi-Specialty Clinic/Center
- Statesboro, GA
- NPI 1356860944
-
- Psychologist
- Martinez, GA
- NPI 1295898476
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1312761600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678924800000",
"number": "1912286089",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2872",
"city": "STATESBORO",
"state": "GA",
"postal_code": "304592872",
"telephone_number": "912-481-2652",
"fax_number": "912-225-3770"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "124 SAVANNAH AVE STE 1C",
"city": "STATESBORO",
"state": "GA",
"postal_code": "304587149",
"telephone_number": "912-481-2652",
"fax_number": "912-225-3770"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WELCKER",
"first_name": "JOY",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-08-08",
"last_updated": "2023-03-16",
"certification_date": "2023-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "NC",
"license": "4747",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NC",
"license": "4747",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "GA",
"license": "9526",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Statesboro, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.